PATIENT INTERACTION WITH POSTURE-RESPONSIVE THERAPY

• US 20100010571A1
• Filed: 04/30/2009
• Published: 01/14/2010
• Est. Priority Date: 07/11/2008
• Status: Active Grant

• Current Assignee: Medtronic Incorporated (Medtronic Plc)
• Original Assignee: Medtronic Incorporated (Medtronic Plc)
• Inventors: Davis, Jon P., Skelton, Dennis M., Nolan, Joseph J., Sahasrabudhe, Rajeev
• Granted Patent: US 8,644,945 B2
• Time in Patent Office: Days
• US Class Current: 607/59
• CPC Class Codes: A61B 2560/0219 of externally powered implanted units
• CPC Class Codes: A61B 2562/0219 Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
• CPC Class Codes: A61B 5/1116 Determining posture transitions
• CPC Class Codes: A61B 5/1118 Determining activity level
• CPC Class Codes: A61B 5/686 Permanently implanted devices, e.g. pacemakers, other stimulators, biochips A61B5/6861 takes precedence
• CPC Class Codes: A61B 5/743 Displaying an image simultaneously with additional graphical information, e.g. symbols, charts, function plots
• CPC Class Codes: A61M 2205/054 with electrotherapy
• CPC Class Codes: A61M 2230/62 Posture
• CPC Class Codes: A61M 37/00 Other apparatus for introducing media into the body for reproduction or fertilisation A61B17/425; apparatus for iontophoresis or cataphoresis A61N1/30; Percutany, i.e. introducing medicines into the body by diffusion through the skin salt baths A61H33/04
• CPC Class Codes: A61M 5/14276 specially adapted for implantation
• CPC Class Codes: A61M 5/1723 using feedback of body parameters, e.g. blood-sugar, pressure measurement of body parameters A61B5/00
• CPC Class Codes: A61N 1/36071 Pain
• CPC Class Codes: A61N 1/36132 using patient feedback
• CPC Class Codes: A61N 1/36135 using physiological parameters
• CPC Class Codes: A61N 1/36535 controlled by body position or posture
• CPC Class Codes: A61N 1/37247 User interfaces, e.g. input or presentation means
• CPC Class Codes: G16H 20/30 relating to physical therapies or activities, e.g. physiotherapy, acupressure or exercising
• CPC Class Codes: G16H 40/63 for local operation

Abstract

In general, the disclosure relates to the delivery of therapy according to a detected posture state of a patient. The disclosure contemplates a variety of techniques for managing therapy delivered to a patent, including patient and clinician interaction with a medical device configured to deliver therapy according to posture state. In one example, the disclosure relates to a technique including delivering a first therapy to a patient via a medical device, the first therapy associated with a first posture state of the patient; receiving an indication from a user indicating that a second therapy should be delivered, the second therapy associated with a second posture state of the patient; and delivering the second therapy to the patient instead of the first therapy based on the indication.

Claims

1. A method comprising:

delivering a first therapy to a patient via a medical device, the first therapy associated with a first posture state of the patient;

receiving an indication from a user indicating that a second therapy should be delivered, the second therapy associated with a second posture state of the patient; and

delivering the second therapy to the patient instead of the first therapy based on the indication.

2. The method of claim 1, wherein delivering the second therapy to the patient comprises temporarily overriding the first therapy.

3. The method of claim 2, further comprising detecting an override termination action.

4. The method of claim 3, wherein the override termination action comprises at least one of expiration of a time period, detection of a patient posture state transition, or a patient input.

5. The method of claim 1, wherein receiving the indication from a user indicating that the second therapy should be delivered comprises receiving an indication from the user that therapy should be delivered according to a second posture state.

6. The method of claim 1, further comprising:

detecting that the patient is in the first posture state, wherein delivering the first therapy to the patient comprises delivering the first therapy to the patient according to the detection that the patient is in the first posture state; and

detecting that the patient has transitioned to a second posture state from the first posture state, wherein delivering the second therapy to the patient comprises initially delivering the first therapy to the patient while in the second posture state and then delivering the second therapy the patient while still in the second posture state.

7. The method of claim 6, wherein receiving the indication from the user indicating that the second therapy should be delivered comprises receiving the indication from the user indicating that the second therapy should be delivered at a time when the patient is in the second posture state.

8. The method of claim 6, wherein the first posture state comprises a defined posture state and the second posture state comprises an undefined posture state.

9. The method of claim 1, wherein the indication from the user is generated based on user indication of the second posture state presented via an user interface,

10. A system comprising:

a therapy delivery module configured to deliver therapy to a patient; and

a processor configured to control the therapy module to deliver a first therapy to the patient, receive an indication from a user indicating that a second therapy should be delivered, and control the therapy module to deliver the second therapy to the patient instead of the first therapy based on the indication, wherein the first therapy is associated with a first posture state of the patient, and the second therapy is associated with a second posture state of the patient.

11. The system of claim 10, wherein the processor controls the therapy module to deliver the second therapy to the patient by temporarily overriding delivery of the first therapy.

12. The system of claim 11, wherein the processor is further configured to detect an override termination action.

13. The system of claim 12, wherein the override termination action comprises at least one of expiration of a time period, a patient posture state transition, or a patient input.

14. The system of claim 10, wherein the processor receives the indication from a user indicating that the second therapy should be delivered by receiving an indication from the user that therapy should be delivered according to a second posture state.

15. The system of claim 10,

wherein the processor is further configured to detect that the patient is in the first posture state, control the therapy module to deliver the first therapy to the patient according to the detection that the patient is in the first posture state, and detect that the patient has transitioned to a second posture state from the first posture state,

wherein the processor controls the first therapy module to initially deliver the first therapy to the patient while in the second posture state and then deliver the second therapy to the patient while still in the second posture state.

16. The system of claim 15, wherein the processor is configured to receive the indication from the user indicating that the second therapy should be delivered when the patient is in the second posture state.

17. The system of claim 15, wherein the first posture state comprises a defined posture state and the second posture state comprises an undefined posture state.

18. The system of claim 10, further comprising a user interface configured to present a list of one or more posture states to the patient, the one or more posture states including the second posture state, and receive a patient input selecting the second posture state from the list, wherein the processor controls the therapy module to deliver the second therapy associated with the second posture state based on the selection.

19. The system of claim 10, further comprising a user interface configured to present an indication that an undefined posture state is detected based on detection of an undefined posture, and receive an indication from a user indicating whether the user would like to select a defined posture state.

20. A system comprising:

means for delivering a first therapy to a patient via a medical device, the first therapy associated with a first posture state of the patient;

means for receiving an indication from a user indicating that a second therapy should be delivered, the second therapy associated with a second posture state of the patient; and

means for delivering the second therapy to the patient instead of the first therapy based on the indication.

21. A computer-readable storage medium comprising instructions for causing one or more processors to:

deliver a first therapy to a patient via a medical device, the first therapy associated with a first posture state of the patient;

receive an indication from a user indicating that a second therapy should be delivered, the second therapy associated with a second posture state of the patient; and

deliver the second therapy to the patient instead of the first therapy based on the indication.